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Contract Termination Letter Request
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Instr
uctions
1. Revi
ew current contract termination language to ensure clause requirements are being met.
2. Discussions should have already occurred with the vendor to see if contract issues can be resolved before
terminating the contract.
3. Fill out document as instructed. Completed document needs to be SIGNED by Agency Director or Designee and
APPROVED/SIGNED by Agency Legal Counsel.
4. Provide IDOA the signed
document, contract or link to the contract and any amendments being terminated, and
any other details needed within at least 10 business days of the required notice provision for the requested
termination date.
5. Please make certain the vendor is well aware of this Contract Termination action prior to the termination notice
being sent by IDOA.
6. IDOA will send the Termination Notice letter by email and regular mail. Mail cutoff time is 2pm for next day pick
up. If the letter is prepared before 2pm that day, it will not go out the building until the next day. So delivery of
the actual letter can take 2-4 days.
Dat
e:
To: I
ndiana Department of Administration
IDOA Contract Termination Request, c[email protected]
From
:
Contractor Name:
Contract Number:
Contact Name:
Description of
Services:
Email Address:
Spe
cify Termination for Default or Convenience:
Desc
ribe the Reason for Contract Termination: